Workers’ Compensation 2018-06-19T17:24:35+00:00

Workers’ compensation and unemployment taxes can be some of the most expensive costs of doing business in Ohio. We work with more than 16,000 employers to reduce workers’ compensation costs and other unemployment expenses.

With specialized teams for the administration of safety, handicap reimbursement, lump sum settlements, tax and rate underwriting, and hearing representation our clients get more individualized focus on each aspect of their programs. We’ll partner with you to create a tailored Plan of Action so that you can make the best decisions for your organization!

State Fund

  • Sheakley provides guidance with claim investigation, wage continuation, return to work options, independent medical exams and reviews, and vocational rehab
  • A dedicated team reviews every eligible lost time claim for potential handicap reimbursement
  • Sheakley continues to be one of the top producing TPAs for handicap awards
  • A dedicated team recommends and assists with the negotiations of settlements
  • Sheakley has representatives including several attorneys on staff who attend the Industrial Commission hearings throughout the state
  • Review and pre-price the medical bills to the BWC fee sheadule
  • Supply vouchers for each medical bill
  • Provide annual financial analysis and customized reports
  • Both Group Rating and Group Retro discounts are offered for many industries
  • Employers save 10%-60% of their state fund premiums
  • Rating and account management teams offer assistance with other BWC programs
    • One Claim Program
    • Deductible Program
    • Retrospective Rating
    • EM Capping
    • Destination Excellence
  • Provides council and recommendations based on BWC updates and new programs

Self Insurance

  • Provide direction in all claim matters within the scope set forth by the Ohio BWC – including but not limited to
    • Claim investigations
    • Claim allowance determinations
    • Litigation
    • Payment of compensation
    • Payment of medical benefits
    • Return to work opportunities
  • On-staff Nurse Case Managers assist in determination of appropriate care provided to injured workers
  • Communicates of all treatment request decisions to providers
  • Notifies all parties assigned to claims
  • Bills are reviewed for accuracy, relatedness to the allowed conditions in the claim and approval of care prior to processing for payment at BWC fee schedule
  • Sheakley has representatives, including several attorneys, on staff that will represent employers at all Industrial Commissions throughout the state of Ohio
  • The Self Insured Operations Manager
    • Provides oversight of claims management
    • Conducts internal reviews of claims to ensure that policies and procedures are being followed
  • Sheakley provides the BWC the tools they need to produce positive audit findings
  • Produces proper safeguards against unauthorized use and disclosure of data exchanged to the Centers for Medicare and Medicaid Services for the purpose of complying with Section 111 Mandatory Reporting
  • Sheakley generates and produces required forms for employers to file their annual 1099’s with the IRS
  • The annual Report of Compensation form due to the BWC will also be filed on behalf of the employer
  • Sheakley provides employers with training and counseling to improve or create a safer work environment as a means of loss prevention
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